Comparison of two dose prediction models for cisplatin.

Abstract:

:Cisplatin toxicity could be decreased by adjusting its dosage to each patient. For this purpose, a limited sampling method was established and validated based on a Bayesian approach taken using the values of assays during a 5-day continuous infusion of cisplatin. Using this method, a dosing model to achieve a target plasma concentration of total platinum (Pt) was evaluated retrospectively; the calculated dose of cisplatin was 95.0 to 104.8% of the actual dose. This model was then studied prospectively and the actual plasma Pt concentration reached at the end of the infusion was 94.9% of the target concentration. A strong correlation was observed between the clearance of Pt and the calculated clearance of creatinine or Cockroft index (p = 1.7 x 10(-11), and this correlation was used to develop another cisplatin dosing model. With this model the actual concentration reached at the end of the infusion was 85.3% of the theoretical concentration. The Bayesian approach gave reliable results for most clinical uses, whereas the creatinine based model has to be improved.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Desoize B,Dumont P,Manot L,Urien S,Dufour R,Berthiot G

subject

Has Abstract

pub_date

1994-11-01 00:00:00

pages

2285-90

issue

6A

eissn

0250-7005

issn

1791-7530

journal_volume

14

pub_type

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